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Cataract surgery in children with syndromes or mental retardation
Author(s) -
BREMONDGIGNAC D
Publication year - 2014
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2014.3453.x
Subject(s) - microphthalmia , medicine , aphakia , coloboma , strabismus , aniridia , microphthalmos , cataract surgery , ophthalmology , glaucoma , retinal , complication , strabismus surgery , surgery , intraocular lens , biochemistry , chemistry , gene
Specific complications of cataract surgery in children are well known. Refractive errors, strabismus, amblyopia, glaucoma, posterior capsule opacification, inflammation, retinal complication. Young patients with syndromes or mental retardation can present some particular features that need to be evaluated and anticipated. Essentially they come from two directions. One is linked to ocular conditions that can be associated with the syndrome, such as microphthalmia, nanophthalmos, anterior segment dysgenesia, aniridia, frequency of capsular opacification, IO L calculation and complications, persistent fetal vasculature needs complex ultrasound examination to evaluate the surgical options, ocular misalignement, glaucoma, coloboma, retinal anomalies. The other condition is linked to mental retardation and the post‐operative capacity of the child. The different surgical procedures with each step and aphakia correction are discussed following specific ocular conditions and should be adjusted with the level of mental retardation.